Thanks Nigel for starting this thread - I do have the odd nostalgic reminisce of 39 years of surviving (!) with Type 1 diabetes & I have enjoyed reading others recollections and experiences.
The Clinitest urine testing equipment was most definitely archaic and rather primitive - and so useless in many respects.
As Nigel recalled it was not easily portable (no wonder I got used to peeing in very public places!) My mother even made a towelling robe which covered my body – originally used to enable us to change in and out of swimming costumes whilst on the beach – it also became useful for providing a wee sample whilst under cover when we went out for the day! :lol: :lol: :lol: :lol: :lol:
The major flaw with the urine testing was that it did not take into account an individual’s renal threshold – the level at which glucose spills into the urine. Thus in some diabetics they would need a blood glucose (BG) level of 20mmols to produce glucose in wee and thus turn the Clinitest a brilliant orange colour – whilst another diabetic would have to be in a hypoglycaemic coma with a BG of 1mmol to register negative thus turning the Clinitest a blue colour.
I have to say a huge big thank you for the modern BG Meters which replaced the early ones – also not portable – largely the size of an average house brick and yep you most definitely nodded off waiting for the machine to provide a reading.
Some of the early models required manual reading with a colour chart again – similar to urine testing strips – very useful to record a BG of between 6 – 12 mmols (quite a wide variation there!!) and thus having to regulate insulin dosages. However when I first started nursing we used manual BG readings – the thought of that now just makes me shudder! :shock: :shock: :shock:
The fun thing regarding Clinitest tablets was that they made you "dead cool" amongst the other children particularly at primary school! :lol:
It was fantastic to have equipment in the house that stated “POISON CAUSES SEVERE BURNS” – and yes as a child I had complete access to it – an integral part of diabetes management being to induce self-management and independence!!
When school friends came around to the house we would place the Clinitest tablets at varying distances apart on the pavement outside and using water pistols attempt to hit the tablet – the child who won was the one who could hit the tablet at the farthest distance!! In addition with numerous water pistols fired simultaneously we could create multiple tiny volcanic eruptions as the Clinitest tablets fizzed & foamed on the pavement!!! :lol: :lol: :lol:
I can hear a terrible gasp of horror from health & safety! :shock: :shock:
The stainless steel needles were barbaric
compared to the modern BD Insulin Syringes and pen needles.
I kept my glass syringe in an enamel kidney dish between use – covering the methylated spirit, which the syringe bobbed about in – with tin foil. I remember having a special box – about 6 inches - long lined with lint and cotton wool which we used when we needed to take the syringe any were such as if I went to stay over night with grandparents.
Carb Counting was all the rage in 1970 – not entirely sure why it went out of vogue really. We had a carb card listing red portions and black portions and a list of free foods namely redcurrants and cheese!! :lol:
Huge excitement was generated when the doctor announced we could increase my carb allowance from 15 carbs for lunch to 20 carbs – I thought I had won the pools it was that exciting and it also indicated you were controlling your diabetes well!
I also recall when first attending a diabetic clinic here in London – 26 years ago – when the clinics used to take a BG reading whilst you were there. The blood was taken from your ear lobe!! :shock:
The theory was that as many diabetics lost their sight they would need to read Braille and using the tips of their fingers to take blood contributed to nerve damage – had the clinic not actually heard of neuropathy then?!
Gladly this practice was discontinued largely because in actual fact we should be stabbing the side of the finger amongst other body areas to obtain a blood sample for BG levels not the centre of the fingertips. Also it was nigh on impossible to take a blood sample from your earlobe without looking into a mirror and trying to coordinate stabbing the lancet in and getting the BG machine – the size of a house brick - up to the drop required the skills of a contortionist!! :lol: :lol: :lol:
Still it was funny to see all these diabetics sitting in the clinic with tissue stuck to their ear lobes!
Is there anything I miss from the good old days? Actually yes. :shock:
There were no NHS Government Health targets 40 years ago.
Admittedly there wasn’t for example any eye screening, diabetic nurse specialists or HBA1C’s then either but the no target approach was definitely positive.
I am determined to receive my 50 years on insulin medal – only another 11½ years to go!
Have included a couple of photographs from my archive – actually wished I had kept a few bits of my original diabetes kit!
Txx